Germ Jam
Oh synapse!
Rise of the Resistance
Liver little!
Name the Doc
100
Name the primary role the steroids play in the treatment of meningitis.
Steroids may reduce the rate of hearing loss associated with certain bacteria (Strep pneumoniae. Neisseria, Haemophilus)
(also reduced mortality with S. pneumoniae infections)
100
Dix-hallpike is the maneuver to diagnose BPPV. What does BPPV stand for and what is the maneuver used for treatment?
Benign positional paroxysmal vertigo and Epley’s maneuver
100
Name two antibiotic classes that bind to multivalent cations, and therefore should not be taken with dairy, antacids, or supplements containing Ca2+, Mg2+, Al3+, or Fe3+.
Tetracyclines and Fluoroquinolones
100
Which syndrome is characterized by fulminant liver failure and encephalopathy in children with viral illness who take Aspirin?
Reye syndrome
100
"Great Scott!"
Doc Brown
200
Name the two major criteria utilized in Duke's criteria.
1) Positive blood cultures
2) Echocardiogram showing valvular vegetation
200
Lhermitte’s sign, an electrical shock radiating down the spine resulting when neck is flexed can be sign in this autoimmune demyelinating disorder
Multiple sclerosis
200
Which macrolide is not absorbed in the GI tract?
Fidaxomycin (given PO for C. diff treatment)
200
What is the most common source of metastatic tumors to the liver?
Colon
*Other common sources include stomach, pancreas (GI tract tumors spread through portal circulation), lung, and breast
200
"We're in the Endgame now."
Dr. Strange
300
Name the medications that can be used as monotherapy in treating community acquired pneumonia when chronic heart, lung, liver and kidney disease is present. Be specific.
Moxifloxacin (400 mg daily)
Levofloxacin (750 mg daily)
Gemifloxacin (320 mg daily)
300
For patients with sensory deficits, a B12 and B9 level can be obtained. What lab test can help differentiate between a B12 and Folate deficiency?
MMA (methylmalonic acid)
300
What antibiotic is also a monoamine oxidase inhibitor (MAOI)?
Linezolid
300
Which malignant liver tumor is associated with exposure to arsenic and vinyl chloride?
Angiosarcoma
300
"I love you, Meredith".
Dr. Derek Shepherd (aka McDreamy)
400
Name at least 2 of the 3 medications that are FDA approved in the U.S. as HIV PreP.
emtricitabine-tenofovir disoproxil fumarate (Truvada)
emtricitabine-tenofovir alafenamide (Descovy)
cabotegravir (Apretude)
400
The following are clinical features that may indicate what type of "seizure"? Pelvic thrusting, length of seizure activity >10min, crying/distractible during seizure activity
Psychogenic Non-Epileptic Seizure
400
What antibiotic can interfere with the secretion of creatinine, and give an illusion of renal damage?
Trimethoprim
GFR is unaffected
400
What disorder results from hepatic venous outflow obstruction (usually hepatic vein thrombosis) and is associated with a "nutmeg" appearance of the liver?
Budd-Chiari syndrome
400
“You talk to God, you're religious; God talks to you, you're psychotic.”
Dr. House
500
Name the indications for starting steroid therapy in patients with Pneumocystis pneumonia?
SaO2 < 92% or
PaO2 < /= 70 mmHg or
A-a gradient is >/= 35 mmHg on room air
500
MoCA and MMSE are both tools to assess cognition. Which test can help detect Alzheimer’s Disease?
MoCA
500
Name two organs that vancomycin is toxic to
Ears and kidneys
500
What pregnancy-associated liver condition is characterized by pruritus which is worse on the hand and feet, RUQ pain, and ↑bile acids
Intrahepatic cholestasis of pregnancy (ICP)
500
“You haven’t lost any weight, and you want us to do magic for you...”
Dr. Nowzaradan (aka Dr. Now)